# ADIENT PHYSICAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATIPhysical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073695102
- **Authorized official:** LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (630) 296-2223

## Contact information

- **Practice address:** 11260 WILBUR AVE, \# 101, NORTHRIDGE, CA 91326-2449
- **Practice address phone:** (818) 832-5656
- **Practice address fax:** (818) 832-5654
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
- **Mailing address phone:** (630) 296-2223
- **Mailing address fax:** (630) 759-9510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | CA | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 06/24/2016